高血压的心身疾病相关性
The Psychosomatic Disease Correlation of Hypertension
DOI: 10.12677/acm.2026.161267, PDF,   
作者: 香木其日:内蒙古医科大学蒙医临床医学院,内蒙古 呼和浩特;孟根花, 乌云斯日古楞*:内蒙古自治区国际蒙医医院心身医学科,内蒙古 呼和浩特
关键词: 高血压焦虑状态心身疾病心身治疗Hypertension Anxiety State Psychosomatic Disease Psychosomatic Therapy
摘要: 高血压是世界上最常见的慢性疾病之一。全球高血压患者数量在不断快速地增长,患病形势严峻。我国高血压患者情况也不容乐观,高血压发病人数呈逐年升高趋势,其中合并焦虑的高血压人数也在不断增加。随着医学模式从单纯的生物医学模式向生物–心理–社会医学模式的转变,心理因素在高血压的发生、发展和治疗中的作用日益受到关注。高血压伴焦虑不仅产生躯体以及精神的痛苦,还严重影响个体的生命质量和社会心理功能,从高血压的病因、心身治疗方面进行探讨,身心同治,能达到双重治疗的目的。
Abstract: Hypertension is one of the most prevalent chronic diseases worldwide. The global number of individuals with hypertension is rapidly increasing, presenting a severe epidemiological challenge. The situation in China is equally concerning, with a rising annual incidence of hypertension, including a growing proportion of cases complicated by anxiety. As the medical model shifts from a purely biomedical approach to a biopsychosocial one, the role of psychological factors in the onset, progression, and management of hypertension has gained increasing attention. Hypertension accompanied by anxiety not only causes physical and psychological distress but also significantly impairs an individual’s quality of life and psychosocial functioning. Exploring the etiology of hypertension and its psychosomatic treatment, with an integrated mind-body approach, can achieve dual therapeutic benefits.
文章引用:香木其日, 孟根花, 乌云斯日古楞. 高血压的心身疾病相关性[J]. 临床医学进展, 2026, 16(1): 2117-2122. https://doi.org/10.12677/acm.2026.161267

参考文献

[1] 葛均波, 徐永健, 等. 内科学[M]. 北京: 人民卫生出版社, 2018: 247-260.
[2] 徐霓影, 任昕燕, 高航, 等. 中老年人社会隔离与高血压发病关系的队列研究[J]. 中国卫生统计, 2022, 39(4): 571-574.
[3] Huang, L., Zhang, Q., Valenzuela, R.K., Xu, J., Yan, F. and Ma, J. (2022) Identifying Susceptibility Genes for Essential Hypertension by Transcriptome-Wide Association Study. Biochemistry and Biophysics Reports, 32, Article ID: 101387. [Google Scholar] [CrossRef] [PubMed]
[4] Zhou, B., Carrillo-Larco, R.M., Danaei, G., Riley, L.M., Paciorek, C.J., Stevens, G.A., et al. (2021) Worldwide Trends in Hypertension Prevalence and Progress in Treatment and Control from 1990 to 2019: A Pooled Analysis of 1201 Population-Representative Studies with 104 Million Participants. The Lancet, 398, 957-980. [Google Scholar] [CrossRef] [PubMed]
[5] Wang, J., Chia, Y., Chen, C., Park, S., Hoshide, S., Tomitani, N., et al. (2020) What Is New in the 2018 Chinese Hypertension Guideline and the Implication for the Management of Hypertension in Asia? The Journal of Clinical Hypertension, 22, 363-368. [Google Scholar] [CrossRef] [PubMed]
[6] Wang, Z., Chen, Z., Zhang, L., Wang, X., Hao, G., Zhang, Z., et al. (2018) Status of Hypertension in China: Results from the China Hypertension Survey, 2012-2015. Circulation, 137, 2344-2356. [Google Scholar] [CrossRef] [PubMed]
[7] 李睿琳, 陈玲. 人格特征、应对方式与老年高血压患者治疗依从性的研究进展[J]. 中国老年学杂志, 2021, 41(23): 5448-5451.
[8] 关倍倍, 陈长香. 社会支持和失禁对中老年脑卒中伴高血压患者记忆功能的影响[J]. 中国老年学杂志, 2022, 42(8): 2008-2010.
[9] 黄馨雨, 唐晓君, 邱景富, 等. 社会支持与中老年人常见慢性病患病风险的关系[J]. 保健医学研究与实践, 2023, 20(9): 24-30.
[10] 冯雅. 基于CiteSpace的国内高血压患者心理护理研究领域文献计量分析[J]. 中国乡村医药, 2021, 28(14): 73-74.
[11] Johnson, H.M. (2019) Anxiety and Hypertension: Is There a Link? A Literature Review of the Comorbidity Relationship between Anxiety and Hypertension. Current Hypertension Reports, 21, Article No. 66. [Google Scholar] [CrossRef] [PubMed]
[12] 黄龙, 罗云, 郭铁, 等. 围手术期高血压伴焦虑的中医药干预研究进展[J]. 现代中西医结合杂志, 2022, 31(4): 580-584.
[13] 杨夏娇, 赵国丹, 李骞, 等. 高血压患者心理弹性和自我管理在积极应对方式和焦虑抑郁中的多重中介效应研究[J]. 中国卫生统计, 2023, 40(6): 852-855.
[14] 任延平. 《成人精神压力相关高血压诊疗专家共识》解读[J]. 中国临床医生杂志, 2022, 50(4): 397-399.
[15] 俊冕. 医学心理学[M]. 上海: 上海医科大学出版社,1996: 80-89.
[16] 国家卫生计生委合理用药专家委员会, 中国医师协会高血压专业委员会. 高血压合理用药指南(第2版) [J]. 中国医学前沿杂志(电子版), 2017, 9(7): 28-126.
[17] O’Donnell, J.A., Zheng, T., Meric, G. and Marques, F.Z. (2023) The Gut Microbiome and Hypertension. Nature Reviews Nephrology, 19, 153-167. [Google Scholar] [CrossRef] [PubMed]
[18] 毕正强, 尹成龙. 急诊高血压患者焦虑情绪与血压、心率变异性的关系[J]. 国际精神病学杂志, 2023, 50(4): 780-782.
[19] Lim, L., Solmi, M. and Cortese, S. (2021) Association between Anxiety and Hypertension in Adults: A Systematic Review and Meta-Analysis. Neuroscience & Biobehavioral Reviews, 131, 96-119. [Google Scholar] [CrossRef] [PubMed]
[20] 王静, 陈洁. 高血压合并焦虑、抑郁患者血清炎症因子和单胺类递质水平的变化[J]. 中华高血压杂志, 2023, 31(8): 769-772.
[21] Salim, S., Asghar, M., Taneja, M., Hovatta, I., Chugh, G., Vollert, C., et al. (2011) Potential Contribution of Oxidative Stress and Inflammation to Anxiety and Hypertension. Brain Research, 1404, 63-71. [Google Scholar] [CrossRef] [PubMed]
[22] Strine, T.W., Mokdad, A.H., Dube, S.R., Balluz, L.S., Gonzalez, O., Berry, J.T., et al. (2008) The Association of Depression and Anxiety with Obesity and Unhealthy Behaviors among Community-Dwelling US Adults. General Hospital Psychiatry, 30, 127-137. [Google Scholar] [CrossRef] [PubMed]
[23] Uchmanowicz, I., Markiewicz, K., Uchmanowicz, B., Kołtuniuk, A. and Rosińczuk, J. (2019) The Relationship between Sleep Disturbances and Quality of Life in Elderly Patients with Hypertension. Clinical Interventions in Aging, 14, 155-165. [Google Scholar] [CrossRef] [PubMed]
[24] Liu, H., Liu, S., Wang, K., Zhang, T., Yin, L., Liang, J., et al. (2022) Time-dependent Effects of Physical Activity on Cardiovascular Risk Factors in Adults: A Systematic Review. International Journal of Environmental Research and Public Health, 19, Article 14194. [Google Scholar] [CrossRef] [PubMed]
[25] Pescatello, L.S., Wu, Y., Gao, S., Livingston, J., Sheppard, B.B. and Chen, M. (2021) Do the Combined Blood Pressure Effects of Exercise and Antihypertensive Medications Add up to the Sum of Their Parts? A Systematic Meta-Review. BMJ Open Sport & Exercise Medicine, 7, e000895. [Google Scholar] [CrossRef] [PubMed]
[26] 张前锋, 徐晓阳, 李捷. 有氧运动对原发性高血压的降压作用及可能机制[J]. 中国循环杂志, 2016, 31(12): 1238-1240.
[27] Nakazato, L., Mendes, F., Paschoal, I.A., Oliveira, D.C., Moreira, M.M. and Pereira, M.C. (2021) Association of Daily Physical Activity with Psychosocial Aspects and Functional Capacity in Patients with Pulmonary Arterial Hypertension: A Cross‐Sectional Study. Pulmonary Circulation, 11, 1-9. [Google Scholar] [CrossRef] [PubMed]
[28] Bricca, A., Harris, L.K., Jäger, M., Smith, S.M., Juhl, C.B. and Skou, S.T. (2020) Benefits and Harms of Exercise Therapy in People with Multimorbidity: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. Ageing Research Reviews, 63, Article ID: 101166. [Google Scholar] [CrossRef] [PubMed]
[29] 潘洁玲, 李绵莎, 林凯玲. 中医养生法对高血压亚健康状态的影响作用研究[J]. 新中医, 2012, 44(2): 20-22.
[30] MacDonald, H.V., Johnson, B.T., Huedo‐Medina, T.B., Livingston, J., Forsyth, K.C., Kraemer, W.J., et al. (2016) Dynamic Resistance Training as Stand‐Alone Antihypertensive Lifestyle Therapy: A Meta‐Analysis. Journal of the American Heart Association, 5, e003231. [Google Scholar] [CrossRef] [PubMed]
[31] 王晓斌, 叶鹭萍. 24式简化太极拳对老年原发性高血压伴轻度焦虑状态的影响[J]. 福建中医药, 2019, 50(4): 73-75.
[32] 范维英, 郑丽维, 陈丰, 等. 八段锦运动对38例老年原发性高血压患者焦虑、抑郁的影响[J]. 福建中医药, 2021, 52(2): 11-13.
[33] 蒋燕红, 傅根莲, 王青平, 等. 八段锦对老年肝阳上亢证高血压伴焦虑患者的影响[J]. 齐鲁护理杂志, 2019, 25(19): 104⁃106.
[34] 许峰, 陈昌乐, 胡敏, 等. 三线放松功辅助治疗原发性高血压的疗效观察[J]. 广西医学, 2017, 39(6): 846⁃848.
[35] 江雨桐. 放松治疗对广泛性焦虑症患者睡眠功能的影响[J]. 世界睡眠医学杂志, 2020, 7(9): 1496⁃1497.
[36] 唐婕, 朱小玲, 蒋光芬, 等. 音乐放松想象训练对A型性格高血压患者心理健康及生活质量的影响研究[J]. 国际精神病学杂志, 2019, 46(1): 179-181, 192.
[37] 陈靖, 姚慧娟, 贾仕轩, 等. 探讨中医五行音乐疗法对高血压患者血压及焦虑的影响[J]. 中医外治杂志, 2021, 30(6): 95-96.
[38] Cao, M. and Zhang, Z. (2023) Adjuvant Music Therapy for Patients with Hypertension: A Meta-Analysis and Systematic Review. BMC Complementary Medicine and Therapies, 23, Article No. 110. [Google Scholar] [CrossRef] [PubMed]
[39] 孟昕, 汪卫东. 中医五行音乐疗法的理论和应用探析[J]. 环球中医药, 2017, 10(10): 1218-1221.
[40] 刘安梅. 音乐疗法联合氨氯地平治疗老年高血压合并焦虑抑郁效果探讨[J]. 中西医结合心脑血管病杂志, 2017, 15(12): 1534-1536.
[41] Verma, N., Rastogi, S., Chia, Y., Siddique, S., Turana, Y., Cheng, H., et al. (2021) Non‐Pharmacological Management of Hypertension. The Journal of Clinical Hypertension, 23, 1275-1283. [Google Scholar] [CrossRef] [PubMed]
[42] Ponte Márquez, P.H., Feliu-Soler, A., Solé-Villa, M.J., Matas-Pericas, L., Filella-Agullo, D., Ruiz-Herrerias, M., et al. (2018) Benefits of Mindfulness Meditation in Reducing Blood Pressure and Stress in Patients with Arterial Hypertension. Journal of Human Hypertension, 33, 237-247. [Google Scholar] [CrossRef] [PubMed]